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The Medicare Shared Savings Program

The Medicare Shared Savings Program. November 2011. Terri L Postma, MD Medical Officer/Senior Advisor Center for Medicare and Medicaid Services. Overview. CMS vision and goals Major changes in final rule Next steps. ACO Vision. An ACO promotes seamless coordinated care

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The Medicare Shared Savings Program

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  1. The Medicare Shared Savings Program November 2011 Terri L Postma, MD Medical Officer/Senior Advisor Center for Medicare and Medicaid Services

  2. Overview • CMS vision and goals • Major changes in final rule • Next steps

  3. ACO Vision • An ACO promotes seamless coordinated care • Puts the beneficiary and family at the center • Remembers patients over time and place • Attends carefully to care transitions • Manages resources carefully and respectfully • Proactively manages the beneficiary’s care • Evaluates data to improve care and patient outcomes • Innovates around better health, better care and lower growth in costs through improvement • Invests in team-based care and workforce

  4. CMS’s ACO Strategy: Creating Multiple Pathways with Constant Learning and Improving MSSP: Track 1 & Track 2 Pioneers AdvancePayment

  5. Operating Principles • Creating multiple pathways and on-ramps for organizations to participate • Strong data partnership • Beneficiary notification and engagement • Maintain strong partnership with federal anti-trust agencies • Robust quality measurement and performance monitoring • Stronger business case to participate • Excitement and momentum

  6. Proposed vs. Final Rule

  7. Proposed vs. Final Rule

  8. Proposed vs. Final Rule

  9. Proposed vs. Final Rule

  10. Proposed vs. Final Rule

  11. Proposed vs. Final Rule

  12. Proposed vs. Final Rule

  13. Questions? For more information: www.cms.gov/sharedsavingsprogram/ aco@cms.hhs.gov 410-786-8084

  14. Appendix: Financial Model

  15. Appendix: Financial Model

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